Charles Smith, PHD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22499 Issued in TX

Practice address

3733 S Port Ave
Corpus Christi, TX 78415-4532

Phone

(361) 886-6900

Fax

(361) 888-8358

NPI assigned

Jul 7, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063445807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S BROWNLEE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043134",
            "telephone_number": "361-886-6900",
            "fax_number": "361-888-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154532",
            "telephone_number": "361-886-6900",
            "fax_number": "361-888-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jatia Smith Washington
• Alma McKay Smith, PHARMD, RPH, BCGP
• Arlina Juarez Smith, RPH
• Ashley Tarleton Smith
• Bambi Gail Smith
• Danielle Nicole Smith, BCABA
• Gary L Smith, M.D.
• Grant Edward Smith, D. C.
• Jeffrey Smith, LPC
• Joanna Smith, M.S.

• Psychologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.